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Hepatic tuberculosis, typically associated with miliary tuberculosis, can occasionally present as localized liver lesions. This case report describes a 77-year-old male presenting with persistent abdominal pain and fever, following an endoscopic retrograde cholangiopancreatography for bile duct sludge removal. Subsequent computed tomography revealed focal liver lesions.

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Tuberculosis is a disease caused by  (TB), demonstrating a vast clinical spectrum that can potentially involve all systems of the body. We present the case of a female in her late 20s, with an employment background in healthcare. She recently moved to the UK from India.

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Article Synopsis
  • Tuberculosis is making a resurgence globally, and in Morocco, it can lead to rare but serious conditions like common iliac artery aneurysms, which pose high risks of infection and bleeding, necessitating careful treatment planning.
  • A case involving a 54-year-old man presented with skin necrosis and a pulsating groin mass was diagnosed with a false aneurysm caused by tuberculosis, leading to emergency surgery that successfully restored arterial function.
  • Although mycotic aneurysms are uncommon, they can result from direct infection or bloodborne spread, and while treatment success rates can be good, the mortality from complications like ruptures remains significant, highlighting the need for effective management strategies.
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Article Synopsis
  • Tuberculous meningitis (TBM) can lead to serious health issues in children and is best diagnosed early using MRI, which can reveal miliary meningeal TB.
  • Two cases are detailed: one is a 9-year-old girl with symptoms like fever and seizures who was found to have TBM through brain MRI and subsequent tests, leading to a four-drug TB treatment.
  • The second case involves a 17-year-old girl with Crohn's disease and persistent ear infections, ultimately diagnosed with TBM, confirmed by various tests including positive cultures for acid-fast bacilli, and treated with a similar four-drug regimen.
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